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Effect of Mulligan on Sub-acromial Space in Patients With Shoulder Impingement Syndrome

NCT ID: NCT05439525

Last Updated: 2022-06-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-05

Study Completion Date

2022-08-30

Brief Summary

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the aim of this study is to investigate the Effect of mulligan technique on sub-acromial space in patients with shoulder impingement syndrome

Detailed Description

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Shoulder Impingement Syndrome (SIS) is defined as the mechanical entrapment of the rotator cuff (mainly the supraspinatus tendon) or the sub-acromial bursa in the sub-acromial space between the humeral head and the acromion or coracohumeral ligament .It is typically exacerbate when the arm is elevated or when overhead throwing activities are performed . Mulligan technique is a type of manual therapy with hypoalgesic effects, increases joint ROM, enhances muscle function and treats specific pathologies. Mobilization with movement (MWM) can be defined as the application of a sustained passive accessory force / glide to a joint while the patient actively performs a task that was previously identified as being problem.

Conditions

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Shoulder Impingement

Keywords

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mulligan technique sub-acromial space

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

mulligan and conventional therapy
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
permuted block

Study Groups

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Group A

the patient will receive Shoulder complex mobilization with movement three time a week for two weeks

Group Type EXPERIMENTAL

mulligan technique

Intervention Type OTHER

The patient will be in sitting and the therapist stands on the contralateral side of pain, stabilizing the scapula posteriorly with one hand. The head of the humerus is translated posteriorly and laterally with the other hand, along the plane of the glenoid fossa. While the glide is sustained, the patient actively elevates their arm through the plane of abduction or scaption (elevation). Apply 6-10 repetitions in a set, with 3-5 sets in a treatment session the perform mobilization on acromioclavicular and sternoclavicular joint

conventional therapy

Intervention Type OTHER

1. Flexibility exercises: enhance flexibility of the glenohumeral Posterior capsule, pectoralis muscle, and upper thoracic spine.
2. Strengthen the rotator cuff and scapular stabilizers.
3. Improve upper-quarter postural awareness

Group B

will receive Conventional therapy three times a week for two weeks.

Group Type ACTIVE_COMPARATOR

conventional therapy

Intervention Type OTHER

1. Flexibility exercises: enhance flexibility of the glenohumeral Posterior capsule, pectoralis muscle, and upper thoracic spine.
2. Strengthen the rotator cuff and scapular stabilizers.
3. Improve upper-quarter postural awareness

Interventions

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mulligan technique

The patient will be in sitting and the therapist stands on the contralateral side of pain, stabilizing the scapula posteriorly with one hand. The head of the humerus is translated posteriorly and laterally with the other hand, along the plane of the glenoid fossa. While the glide is sustained, the patient actively elevates their arm through the plane of abduction or scaption (elevation). Apply 6-10 repetitions in a set, with 3-5 sets in a treatment session the perform mobilization on acromioclavicular and sternoclavicular joint

Intervention Type OTHER

conventional therapy

1. Flexibility exercises: enhance flexibility of the glenohumeral Posterior capsule, pectoralis muscle, and upper thoracic spine.
2. Strengthen the rotator cuff and scapular stabilizers.
3. Improve upper-quarter postural awareness

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

age of patients from 30- 55 years old . Both Male and female.

Shoulder pain and two out of four specified objective signs and symptoms:

Positive Neer impingement test. Positive Hawkins-Kennedy impingement test. Painful or limitation of active shoulder elevation (flexion, abduction, scaption).

Pain or limitation with the functional movement patterns of hand-behind-back or hand-behind-head.

Exclusion Criteria

Systemic or neurological disorder. Adhesive capsulitis. Cervical radiculopathy. History of shoulder surgery. Corticosteroid injection within the past month Subjects who had received physical therapy treatment for their shoulder within the past three months.
Minimum Eligible Age

30 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Al Shaymaa Shaaban Abd El Azeim

principle investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Deraya university

Cairo, , Egypt

Site Status

Countries

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Egypt

Central Contacts

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alshaymaa sh abd el-azeim, lecturer

Role: CONTACT

Phone: 01033771553

Email: [email protected]

Facility Contacts

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Noha alaa eldeen Mahmoud

Role: primary

Amal Hassan Mohammed

Role: backup

Other Identifiers

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P.t.Rec/012/003613

Identifier Type: -

Identifier Source: org_study_id